Caroline Marie Mallow, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146016062 Issued in IL

Practice address

411 S Court St
Marion, IL 62959-2711

Phone

(618) 993-2138

NPI assigned

Aug 23, 2021

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Small Talk Speech and Language Center

  • Speech-Language Pathologist
  • Herrin, IL
  • NPI 1083459275
  NPD (past)
• Williamson Co. Special Education District

  • Student in an Organized Health Care Education/Training Program
  • Marion, IL
  • NPI 1902070642
  NPD (past)
• Williamson County Special Ed

  • Local Education Agency (LEA)
  • Marion, IL
  • NPI 1932315207
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1477220044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 JULIANNE DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591524",
            "telephone_number": "618-694-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S COURT ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629592711",
            "telephone_number": "618-993-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOW",
        "first_name": "CAROLINE",
        "middle_name": "MARIE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146016062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "146016062",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Leigh Mabrey, LCSW
• Silpa Maddala, M.D
• Parag Arvind Madhani, MD
• Robert Joseph Main, D.D.S.
• Rahul Malik, DMD
• Shalynn Malone
• Marvin Richard Mann, MS
• Chrystal T Manning, RN
• Mohammed Yusuf Mansuri, MD
• Kevin Marciniak

• Speech-Language Pathologist in Marion, IL
• Providers in Marion, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.